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Type I Interferons and NK Cells Restrict Gammaherpesvirus Lymph

Node Infection

Clara Lawler,aCindy S. E. Tan,aJ. Pedro Simas,b Philip G. Stevensona

School of Chemistry and Molecular Biosciences, University of Queensland and Royal Children’s Hospital, Brisbane, Australiaa; Instituto de Medicina Molecular e Instituto de Microbiologia, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugalb

ABSTRACT

Gammaherpesviruses establish persistent, systemic infections and cause cancers. Murid herpesvirus 4 (MuHV-4) provides a

unique window into the early events of host colonization. It spreads via lymph nodes. While dendritic cells (DC) pass MuHV-4

to lymph node B cells, subcapsular sinus macrophages (SSM), which capture virions from the afferent lymph, restrict its spread.

Understanding how this restriction works offers potential clues to a more comprehensive defense. Type I interferon (IFN-I)

blocked SSM lytic infection and reduced lytic cycle-independent viral reporter gene expression. Plasmacytoid DC were not

re-quired, but neither were SSM the only source of IFN-I, as IFN-I blockade increased infection in both intact and SSM-depleted

mice. NK cells restricted lytic SSM infection independently of IFN-I, and SSM-derived virions spread to the spleen only when

both IFN-I responses and NK cells were lacking. Thus, multiple innate defenses allowed SSM to adsorb virions from the afferent

lymph with relative impunity. Enhancing IFN-I and NK cell recruitment could potentially also restrict DC infection and thus

improve infection control.

IMPORTANCE

Human gammaherpesviruses cause cancers by infecting B cells. However, vaccines designed to block virus binding to B cells

have not stopped infection. Using a related gammaherpesvirus of mice, we have shown that B cells are infected not via cell-free

virus but via infected myeloid cells. This suggests a different strategy to stop B cell infection: stop virus production by myeloid

cells. Not all myeloid infection is productive. We show that subcapsular sinus macrophages, which do not pass infection to B

cells, restrict gammaherpesvirus production by recruiting type I interferons and natural killer cells. Therefore, a vaccine that

speeds the recruitment of these defenses might stop B cell infection.

E

pstein-Barr virus (EBV) and Kaposi’s sarcoma-associated

her-pesvirus (KSHV) persist in B cells and cause cancers (

1

).

Re-ducing their B cell infections is therefore an important therapeutic

goal. Limited viral gene expression (

2

) makes established

infec-tions difficult to clear. The early events of host colonization may

provide better targets. However, control mechanisms must be

de-fined

in vivo

: inferring mechanisms from

in vitro

studies has

proven problematic because immune function and its evasion are

context dependent. Thus, EBV gp350-specific antibodies block B

cell infection, and CD8

T cells kill infected B cells

in vitro

, but

vaccinations to induce these effectors have not reduced infection

rates (

3

).

The early events of human infections are difficult to analyze

because they predate clinical presentation (

4

). However,

gam-maherpesviruses long predate human speciation (

5

), and peak

viral diversity in genes that interact with host-diverse functions

suggests that viral coevolution has since acted to counter host

divergence. Therefore, human and other mammalian

gamma-herpesviruses should colonize their hosts in similar ways.

Mu-rid herpesvirus 4 (MuHV-4) realistically infects laboratory

mice (

6

) and so can experimentally reveal events of likely

rele-vance to EBV and KSHV. Eighty percent to 90% of its genes

have clear homologs in EBV and KSHV (

7

), and even where

there is genetic diversity, for example, in CD8

T cell evasion,

function appears to be conserved.

EBV is hypothesized to enter new hosts by infecting B cells.

However, naive B cells rarely meet environmental antigens

di-rectly, with their default response to antigen alone being apoptosis

(

8

); rather, they meet antigens presented on myeloid cells in

lymph nodes (LN) (

9

). MuHV-4 host colonization conforms to

this paradigm, with infection first reaching B cells in LN via

den-dritic cells (DC) (

10

); submucosal lymphoid tissue is colonized

later (

11

). MuHV-4 exploits myeloid/lymphoid cell contact for

spread (

12

), making B cell infection difficult to block directly.

However, blocking myeloid infection could potentially restrict B

cell infection indirectly. Viral exploitation of endocytic scavenging

pathways (

13

,

14

) makes myeloid cell entry difficult to block, but

virus production by myeloid cells might be susceptible. Of note,

not all myeloid infection is productive: subcapsular sinus

macro-phages (SSM) communicate with B cells (

15

) and are infected by

MuHV-4 yet restrict its spread (

16

). To reveal mechanisms

capa-ble of

in vivo

infection control, we sought to understand how SSM

restrict MuHV-4 replication.

SSM are specialized sessile macrophages that filter the lymph;

splenic marginal zone (MZ) macrophages (MZM) analogously

filter the blood (

17

). Slow percolation of the lymph and blood past

Received6 June 2016Accepted22 July 2016 Accepted manuscript posted online27 July 2016

CitationLawler C, Tan CSE, Simas JP, Stevenson PG. 2016. Type I interferons and NK cells restrict gammaherpesvirus lymph node infection. J Virol 90:9046 –9057.

doi:10.1128/JVI.01108-16.

Editor:R. M. Longnecker, Northwestern University

Address correspondence to Philip G. Stevenson, p.stevenson@uq.edu.au. Copyright © 2016, American Society for Microbiology. All Rights Reserved.

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their filtering macrophages promotes pathogen adsorption. A

po-tential hazard is that adsorbed pathogens then replicate in the

filtering macrophages. Host defense against this has been studied

by inoculating murine footpads (intrafootpad [i.f.] inoculation)

with vesicular stomatitis virus (VSV): SSM infection is productive,

but the resulting type I interferon (IFN-I) response protects

pe-ripheral nerves and prevents disease (

18

). SSM susceptibility yet

neuronal protection suggests that SSM respond weakly to IFN-I,

and weak MZM IFN-I responses are associated with enhanced

immune priming (

19

). IFN-I responses to vaccinia virus Ankara

also recruit NK cells, although the antiviral efficacy of this

re-sponse was not shown (

20

).

Extrapolating such results to natural infections is not

necessar-ily straightforward, as most viruses engage in host-specific IFN-I

evasion (

21

). VSV normally infects cows rather than mice,

vac-cinia virus is not mouse adapted, and the Ankara strain has lost

many immune evasion genes. In contrast, MuHV-4 evasion

ap-pears to be fully functional in laboratory mice (

6

). Natural

MuHV-4 entry is probably via the upper respiratory tract (

22

), but

i.f. infection is also productive (

16

) and allows comparison with

data from other SSM studies. Both intranasal (i.n.) and i.f.

inocu-lations lead to SSM infection that inhibits acute viral spread (

16

).

MuHV-4 evades IFN-I by targeting interferon regulatory

fac-tor 3 (IRF3) (

23

), TBK-1 (

24

), the IFN-I receptor (IFNAR) (

25

),

STAT-1/2 (

26

), as well as other pathways (

27

) and associated

de-fenses such as apoptosis/autophagy (

28

), NF-

B (

29

), and PML

(

30

,

31

). Nonetheless, disease in IFNAR-deficient mice (

32

,

33

)

indicates IFN-I-dependent restraint. IFN-I reduces MuHV-4

re-activation from latency in B cells (

34

), but heightened reactivation

normally attenuates infection (

35

), and the acute phenotypes of

IFNAR deficiency are more suggestive of increased lytic

replica-tion before B cell colonizareplica-tion. In the spleen, IFN-I restricts

mainly macrophage infection (

36

). Here we show that IFN-I and

NK cells are key components of the SSM barrier to MuHV-4

spread.

MATERIALS AND METHODS

Mice and immune depletions.C57BL/6J, LysM-cre (37), and CD11c-cre (38) mice were infected at 6 to 12 weeks of age. Experiments were ap-proved by the University of Queensland Animal Ethics Committee in accordance with Australian National Health and Medical Research Coun-cil guidelines. Virus was given i.f. in 50␮l (105PFU) under isoflurane

anesthesia. Phagocytic cells were depleted by i.f. administration of 50␮l clodronate-loaded liposomes (39) 3 and 5 days before infection, which was confirmed by CD169 loss around the subcapsular sinus (16). NK cells were depleted by intraperitoneal (i.p.) administration of 200␮g mono-clonal antibody (MAb) PK136 (anti-NK1.1; Bio-X-Cell) 1 and 3 days before infection and every 2 days thereafter. Plasmacytoid DC (pDC) were depleted by i.p. injection of 400␮g MAb BX444 (anti-CD317; Bio-X-Cell) 1 and 3 days before infection and every 2 days thereafter. IFN-I signaling was blocked by i.p. injection of 200␮g MAb MAR1-5A3 (anti-IFNAR; Bio-X-Cell) 1 day before infection and every 2 days thereafter. Experi-mental groups were compared statistically by Student’s two-tailed un-pairedttest.

Cells and viruses.BHK-21 cells and 3T3-50 cells, which express doxy-cycline-inducible MuHV-4 (MHV) open reading frame 50 (ORF50) (40), were grown in Dulbecco’s modified Eagle’s medium with 2 mM glu-tamine, 100 IU/ml penicillin, 100␮g/ml streptomycin, and 10% fetal calf serum (complete medium). MHV-green fluorescent protein (GFP) (41) expresses GFP from an EF1␣ promoter between ORFs 57 and 58. MHV-RG (11) has a viral M3 promoter driving LoxP-flanked mCherry upstream of GFP between ORFs 57 and 58. Cre switches its fluorochrome

expression irreversibly from mCherry to GFP (MHV-G). Neither MHV-RG nor MHV-G is attenuated in C57BL/6 mice, and neither virus outgrows the other in a mixed infection (36). MHV-M50 has 416 bp of the murine cytomegalovirus (MCMV) IE1 promoter in the 5=untranslated region of ORF50 exon 1. This deregulates the lytic switch, essentially abol-ishing viral latency (35). ORF50-negative (ORF50⫺) MuHV-4 has a 1,715-bp deletion in ORF50 exon 2, precluding lytic gene expression with-out complementation (40). The virus was grown and titers were deter-mined in 3T3-50 cells with doxycycline (1␮g/ml). Other viruses were grown and titers were determined in BHK-21 cells (42).

Infectivity assays.Infectious virus was quantified by a plaque assay (42). Virus dilutions were incubated with BHK-21 cells (2 h at 37°C), overlaid with complete medium– 0.3% carboxymethylcellulose, cultured for 4 days, fixed (1% formaldehyde), and stained (0.1% toluidine blue) for plaque counting. Total virus (latent plus infectious) was quantified by an infectious center (IC) assay (42). Freshly isolated LN or spleen cells were layered onto BHK-21 cell monolayers and cultured as described above for plaque assays. To measure Cre-dependent viral fluorochrome switching, plaque or IC assays were performed at limiting dilution in 96-well plates (16 wells per dilution). After 4 days, each well was scored under UV illu-mination for green (GFP positive [GFP⫹], switched) and red (mCherry⫹, unswitched) fluorescence. Percent switching was calculated as 100⫻ green titer/(red titer⫹green titer).

Viral genome quantitation.MuHV-4 genomic positions 24832 to 25071 were amplified by PCR (Rotor Gene 3000; Corbett Research) from 10 ng DNA (NucleoSpin Tissue kit; Macherey-Nagel). PCR prod-ucts quantified with Sybr green (Invitrogen) were compared to a stan-dard curve of a cloned template amplified in parallel and distinguished from paired primers by melting-curve analysis. Correct sizing was confirmed by electrophoresis and ethidium bromide staining. Cellular DNA in the same samples was quantified by amplifying a␤-actin gene fragment.

Immunostaining.Organs were fixed in 1% formaldehyde–10 mM sodium periodate–75 mML-lysine (18 h at 4°C), equilibrated in 30% sucrose (24 h at 4°C), and then frozen in OCT. Six-micrometer sections were blocked with 0.3% Triton X-100 –5% donkey serum (1 h at 23°C) and then incubated (18 h at 4°C) with primary antibodies to GFP (rabbit polyclonal antibody [PAb] or goat PAb; Abcam), B220 (rat MAb RA3-6B2; Santa Cruz Biotechnology), NKp46 (rat MAb 29A1.4; BioLegend), CD11c (hamster MAb N418), CD68 (rat MAb FA-11; Abcam), F4/80 (rat MAb CI:A3-1; Santa Cruz Biotechnology), mCherry (rabbit PAb; Ba-drilla), and CD169 (rat MAb 3D6.112; Serotec) and polyclonal rabbit sera to MuHV-4, raised by subcutaneous virus inoculation. This serum recog-nizes multiple lytic antigens, including the ORF65 capsid protein, the gp70 complement control protein, and gp150 (43). Sections were washed three times in phosphate-buffered saline (PBS); incubated (1 h at 23°C) with Alexa 568- or Alexa 647-donkey anti-rat IgG PAb, Alexa 488- or Alexa 568-donkey anti-rabbit IgG PAb (Life Technologies), Alexa 488-donkey anti-goat PAb, and Alexa 647-488-donkey anti-hamster IgG PAb (Ab-cam); washed three times in PBS; stained with 4= ,6-diamidino-2-phe-nylindole (DAPI); and mounted in Prolong Gold (Life Technologies). Fluorescence was visualized with a Zeiss LSM 510/710 confocal micro-scope.

Flow cytometry.To identify NK cells, dissociated spleen cells were blocked with anti-CD16/32 (BD Biosciences) and incubated with bio-tinylated anti-NKp46 MAb (BioLegend) and then with Alexa 488-conju-gated streptavidin (Invitrogen). To identify pDC, spleen cells were blocked with 5% donkey serum and then incubated with antibodies to CD11c and BST-2 (rabbit PAb; Pierce Biotechnology) or Siglec-H (rat MAb 440c; Abcam), followed by Alexa 647-donkey anti-hamster IgG PAb plus Alexa 488-donkey anti-rat PAb or Alexa 488-donkey anti-rabbit PAb (Life Technologies). Cells were then washed twice in PBS and analyzed on an Accuri flow cytometer (BD Biosciences).

IFN and NK Cells Restrict MuHV-4 in LN

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RESULTS

IFNAR blockade increases MuHV-4 dissemination via LN.

We

hypothesized that SSM are an important site of anti-MuHV-4

action for IFN-I. To test this hypothesis, we gave mice

IFNAR-blocking antibody or not i.p., inoculated them with MuHV-4 by

the i.f. route, and measured virus titers (

Fig. 1

). IFNAR blockade

significantly increased day 6 titers in popliteal LN (PLN) and

spleens (

Fig. 1a

). Assays of freeze-thawed samples established that

the increased infection was predominantly latent. IFNAR

block-ade also increased footpad virus titers (

Fig. 1b

), so as i.f. MCMV

spreads from footpads to PLN to spleen (

16

), the increased PLN

and spleen titers could potentially have been secondary effects.

However, PLN and spleen titers increased from day 3 to day 6,

whereas footpad titers decreased (

Fig. 1c

). Therefore, IFN-I

inde-pendently restricted lymphoid infection.

IFNAR blockade increases early LN infection.

Increasing

PLN virus titers from day 3 to day 6 implied more B cell

prolifer-ation in IFNAR-blocked mice, as this is how MuHV-4 amplifies its

latent load. Higher titers at day 3, when B cell infection is first

detected (

16

), suggested that this was due to more initial B cell

infection. PLN titers were also increased at day 1 (

Fig. 1d

).

In-creased viral genome copy numbers (

Fig. 1e

) indicated more PLN

FIG 1IFNAR blockade increases PLN and spleen infections by i.f. MuHV-4. (a) C57BL/6 mice given IFNAR-blocking antibody (IFN) or not (cont) were infected i.f. with MuHV-4 (105PFU). Six days later, PLN and spleen viruses were IC assayed for total virus and plaque assayed for infectious virus. Crosses show means, and other symbols show data for individual mice. IFNAR-blocking antibody increased total but not lytic titers. (b) Mice treated as described for panel a were plaque assayed 3 and 6 days later for infectious virus in footpads. Bars show means, and diamonds show data for individuals. IFNAR-blocking antibody increased titers at both time points. (c) Mice treated as described for panel a were IC assayed for reactivatable virus in PLN and spleen 3 and 6 days later. Bars show means; other symbols show data for individuals. IFNAR-blocking antibody increased infection at both time points in both sites. (d) Mice treated as described for panel a were tested 1 day later for infectious footpad virus by plaque assay and for reactivatable PLN virus by IC assay. Crosses show means; other symbols show data for individual mice. IFNAR-blocking antibody increased PLN but not footpad infection. (e) DNA from PLN in panel d was assayed for viral genome load by quantitative PCR. Viral load (K3) was normalized by cellular load (-actin) for each sample. Crosses show means; other symbols show data for individuals. IFNAR-blocking antibody increased viral genome loads. (f) Mice were given IFNAR-blocking antibody or not and then latency-deficient MHV-M50 (105PFU i.f.). One day later, footpad virus was plaque assayed and PLN virus was IC assayed. Crosses show means; other symbols show data for individuals. IFNAR-blocking antibody increased PLN but not footpad infection. (g) Mice were depleted of pDC (␣pDC) or not (cont) by 2 i.p. injections of anti-CD317/BST-2 MAb (400g/mouse) 48 h apart and then given MHV-GFP i.f. (105PFU). Three days later, footpad virus was plaque assayed, and PLN virus and spleen virus were IC assayed. Bars show means; other symbols show data for individual mice. pDC depletion increased footpad but not PLN or spleen infections. Two further experiments gave equivalent results. (h) pDC depletion efficacy was checked by flow cytometry of gated CD11c⫹spleen cells for the pDC markers Siglec-H and BST-2. n is the number of cells in the boxed region.

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FIG 2IFNAR blockade increases SSM infection. (a) Mice given IFNAR-blocking antibody (␣IFN) or not (cont) were infected i.f. with MHV-GFP (105PFU). One day later, PLN sections were stained for viral GFP. Nuclei were stained with DAPI. Gray arrows show example GFP⫹cells in the LN substance. Open arrows show increased GFP staining around the subcapsular sinus of mice treated with IFNAR-blocking antibody. Each image is representative of data for 6 samples per group. (b) GFP⫹cells were counted for samples as described for panel a. Bars show group means. Other symbols show mean counts for 3 randomly selected fields of view per section across 3 sections of individual mice. IFNAR-blocking antibody significantly increased GFP⫹cell numbers. (c) C57BL/6 mice were given IFNAR-blocking antibody or not and infected or not with MuHV-4 as described for panel a. Six days later, PLN sections were stained for CD169 (SSM) and CD68 (macrophages/DC). Infected mice lost CD169 expression around the subcapsular sinus (arrows), regardless of IFNAR blockade. CD68 staining around the subcapsular sinus was also reduced. (d) PLN from mice infected as described for panel a were stained 1 day later for GFP plus CD68, CD169, or B220 (B cells). Arrows show example dual-positive cells. (e) GFP⫹and viral lytic antigen (MHV)-positive cells colocalizing with myeloid cell markers were counted for 3 fields of view per section across 3 sections for each of 5 mice per group. Bars show group means; other symbols show individual mean counts. IFNAR-blocking antibody increased GFP⫹and MHV⫹myeloid (CD169⫹or CD68⫹) cell numbers around the subcapsular sinus. (f) PLN of mice infected as described for panel a were stained 1 day later for viral GFP and lytic antigens (MHV). MHV expression was minimal in control mice. Arrows show example GFP⫹MHV⫹cells in mice treated with IFNAR-blocking antibody. Each image is representative of data for 6 samples per group. (g) PLN of mice infected as described for panel a were stained for viral antigens and cell type markers. Arrows show examples of colocalization. Quantitation was as described for panel e.

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infection and not just more

ex vivo

reactivation. IFNAR blockade

also increased day 1 PLN infection by MHV-M50. This virus has a

murine cytomegalovirus IE1 promoter inserted into the ORF50 5

=

untranslated region, essentially abolishing lymphoproliferation

through forced lytic reactivation (

35

) (

Fig. 1f

). Therefore, IFNAR

blockade increased PLN infection before the onset of virus-driven

lymphoproliferation. IFNAR blockade did not significantly

in-crease day 1 footpad infection by either wild-type (WT) or M50

MuHV-4. Therefore, it acted directly on PLN infection.

pDC are nonessential to restrict LN infection.

pDC produce

copious amounts of IFN-I (

44

). To test whether they were

re-quired for IFN-I to restrict MuHV-4 spread, we gave mice a

de-pleting antibody to CD317/tetherin/BST-2, which is expressed

constitutively by pDC and inducibly by other cell types (

45

) (

Fig.

1g

and

h

). This significantly increased day 3 virus titers in footpads

but not in PLN or spleens. Therefore, pDC were nonessential for

IFN-I to restrict acute lymphoid infection.

IFN-I restricts SSM infection.

We identified infected cells by

immunostaining of PLN sections for virus-expressed GFP and

lytic antigens (

Fig. 2

). Low-magnification images at day 1 (

Fig. 2a

)

showed many more GFP

cells around the subcapsular sinus of

IFNAR-blocked mice (

Fig. 2b

). GFP

cell numbers elsewhere in

the PLN remained low.

Inflammation is associated with CD169

SSM displacement

(

46

). Virus infection ablated CD169 staining at day 6 more

dra-matically (

Fig. 2c

). The concomitant loss of subcapsular sinus

CD68 expression, which marks macrophages and DC (

47

), was

consistent with cell displacement or loss. Nonetheless, at day 1,

when CD169 loss was less marked, IFNAR blockade significantly

increased the number of CD68

and CD169

GFP

cells around

the subcapsular sinus (

Fig. 2d

and

e

). B220

B cells were closely

associated with GFP

cells but remained GFP

. While most

my-eloid cells express CD68, its restriction to endosomes and

lyso-somes limited detection sensitivity, as these are not always

cap-tured on sections. However, all GFP

cells had a myeloid rather

than a lymphoid morphology, and the vast majority (

90%)

lo-calized to the subcapsular sinus. Thus, they appeared to be SSM

and possibly also other myeloid cells, such as dendritic cells, in the

same site.

IFNAR blockade also increased MuHV-4 lytic antigen staining

around the subcapsular sinus (

Fig. 2e

to

g

). Lytic antigen and GFP

staining only partly overlapped. GFP was expressed from an EF1

promoter, which operates independently of the viral lytic cycle

(

45

), so GFP

antigen-negative cells may have harbored latent

genomes. The presence of GFP

antigen-positive cells indicated

that GFP expression could also be shut off during lytic infection.

No B220

cells were viral antigen positive. Rather, IFNAR

block-ade increased lytic infection in myeloid cells.

IFN-I protects SSM independently of lytic infection.

IFN-I

limits protein synthesis and thus should inhibit mainly viral lytic

replication. Increased viral lytic antigen expression in SSM after

IFNAR blockade was consistent with this idea. To test whether

IFN-I could also act before the initiation of lytic infection, we gave

mice anti-IFNAR antibody or not and then infected them by the

i.f. route with MuHV-4 lacking its essential ORF50 lytic

transac-tivator (

Fig. 3

). ORF50

MuHV-4 does not express new lytic

genes without complementation. Thus, it is limited

in vivo

to lytic

cycle-independent GFP expression (from an EF1

promoter).

IFNAR blockade again increased GFP expression around the

sub-capsular sinus (

Fig. 3a

and

b

) in CD68

and CD169

but not

B220

cells (

Fig. 3c

). Therefore, IFN-I also restricted SSM

infec-tion before the initiainfec-tion of lytic gene expression.

Synergistic effects of IFN-I blockade and SSM depletion.

To

compare the loss of IFN-I-mediated SSM defense with complete

SSM loss, we gave mice either liposomal clodronate, anti-IFNAR

antibody, both, or neither and then administered MHV-GFP by

the i.f. route (

Fig. 4

). SSM depletion accelerates the spread of

MuHV-4 to the spleen (

16

), and both SSM depletion and IFNAR

blockade increased spleen infection after 6 days (

Fig. 4a

). SSM

depletion and IFNAR blockade together increased both PLN and

spleen infections significantly more than either one did alone.

FIG 3IFN-I restricts SSM infection independently of viral lytic gene expres-sion. (a) Mice were given IFNAR-blocking antibody (␣IFN) or not (cont) and then given i.f. ORF50⫺MuHV-4 (105PFU), which expresses lytic genes only with complementation. One day later, PLN sections were stained for viral GFP. Arrows show example GFP⫹cells. Each image is representative of results for 6 samples per group. (b) GFP⫹cells were counted across 3 randomly selected fields of view per section for 3 sections from each of 6 mice per group. Bars show group means, and other symbols show mean counts for individuals. IFNAR-blocking antibody increased GFP⫹cell numbers. (c) PLN of mice infected as described for panel a were stained for viral GFP plus CD68, CD169, and B220. Arrows show example dual-positive cells. No B cells were GFP⫹.

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Therefore, SSM were not the only source or site of action of IFN-I,

and IFN-I was not the only SSM defense.

Immunostaining of PLN for viral GFP and lytic antigens (

Fig.

4b

) also showed that SSM depletion and IFNAR blockade

addi-tively increased infection. All mice showed more GFP

than viral

antigen-positive cells, and most GFP

cells were B220

B cells

(

Fig. 4c

). Thus, by this time, increased myeloid infection had fed

through to increased B cell infection. The paucity of lytic

antigen-positive cells at day 6 compared to day 3 (

Fig. 2e

) implied that

other immune defenses had substituted for IFN-I to control lytic

infection.

In spleens, IFNAR blockade and SSM depletion individually

had little effect on GFP

or virus-positive cell numbers but

to-gether caused a marked increase (

Fig. 4d

to

f

). This applied across

the red pulp, MZ, and white pulp (WP) (

Fig. 4e

), with WP B cells

being prominently infected (

Fig. 4f

). i.f. liposomal clodronate

does not deplete MZM (

39

), so it must have increased virus

seed-ing to the spleen. IFNAR blockade increased SSM infection (

Fig.

2

), but this evidently entailed exposure to additional immune

de-fenses, so SSM depletion more efficiently seeded PLN virus to the

spleen. However, IFNAR blockade also promotes splenic MZM

infection (

38

). Thus, together, SSM depletion and IFNAR

block-ade avoided virus holdup in the PLN and increased subsequent

replication in the spleen.

Functional tracking of MuHV-4 replication in SSM.

Viral

floxed reporter gene switching can track infection through specific

FIG 4IFNAR blockade and SSM depletion synergistically disseminate MuHV-4. (a) Mice were given liposomal clodronate to deplete SSM (clod), IFNAR-blocking antibody (␣IFN), both treatments (both), or neither treatment (cont) and then given MHV-GFP i.f. (105PFU). Six days later, footpad virus was plaque assayed, and PLN and spleen virus were IC assayed. Bars show means, and other symbols show individual titers. All treatments increased footpad and spleen titers; only dual treatment increased PLN titers. *,P⬍0.05; **,P⬍0.01; ***,P⬍10⫺3; ****,P10⫺4. (b) GFPand viral antigen (MHV)-positive cells were counted

on PLN sections of mice treated as described for panel a. Bars show group means. Other symbols show mean counts for 3 fields of view per section across 3 sections of each mouse. All treatments increased GFP⫹and MHV⫹cell numbers, although MHV⫹cell numbers were low. (c) Example images from panel b show infected cells in PLN. Most GFP⫹cells were B220⫹(B cells, white arrows). Gray-filled arrows show lytically infected cells. (d) GFP⫹and MHV⫹cells were counted on spleen sections of mice treated as described for panel a. Bars show group means. Other symbols show mean counts for 3 fields of view per section across 3 sections of individual mice. Only dual treatment (both) increased spleen infection by this measure. (e) Splenic GFP⫹cells were further subdivided by site. Dual treatment increased infection in the red pulp (RP), MZ, and white pulp (WP). Single treatments had no significant effect. (f) Example images from panel e show infected B220⫹cells. Dashed lines correspond to the MZ. White arrows show infected WP B cells. The gray-filled arrow shows a lytically infected cell.

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cell types of Cre-transgenic mice. Cre switches MHV-RG

irrevers-ibly from red (mCherry) to green (GFP) fluorescence. SSM

ex-press LysM (

16

), so to test whether IFN-I restricts MHV-RG

prop-agation in SSM, we gave IFNAR-blocking antibody or not and

then i.f. MHV-RG to LysM-cre mice (

Fig. 5

). IFN-I blockade

in-creased day 6 virus titers, most noticeably in spleens (

Fig. 5a

). It

also significantly increased the proportion of

fluorochrome-switched virus in footpads and PLN, which was otherwise

negligi-ble (

Fig. 5b

). Occasionally, mice had high levels of splenic virus

switching. This possibly reflected replication in splenic MZM, as

they also express LysM and switch

60% of the i.p. virus reaching

splenic B cells (

12

). The splenic virus of most IFNAR-blocked

mice was unswitched. Therefore, IFNAR blockade increased both

the productivity of LysM

cell infection in footpads and PLN and

the rate of infection spread to the spleen but as separate effects:

most virus still reached the spleen via LysM

cells.

MuHV-4 fluorochrome switching in infected cells.

Viral

fluo-rochrome switching can also be visualized in infected cells. The

M3 promoter driving fluorochrome expression is active mainly in

early/late lytic infection (

48–50

). IFNAR blockade increased

fluo-rochrome switching at day 6 in PLN and spleen cells of LysM-cre

mice (

Fig. 5c

and

d

). In both IFNAR-blocked and control mice,

cellular fluorochrome switching exceeded that of recovered

viri-ons. GFP

PLN cells were difficult to type with certainty but

ap-peared to be myeloid, as none were B220

(B cells). CD11c

cells

were also unswitched, consistent with few DC expressing LysM

(

39

). Thus, IFNAR blockade increased viral lytic gene expression

in LysM

cells, but LysM

cells remained the main source of viral

propagation.

MuHV-4 fluorochrome switching in CD11c-cre mice.

We

next tracked MHV-RG replication in CD11c-cre mice (

Fig. 6

).

Again IFNAR blockade increased virus titers (

Fig. 6a

), but now it

also significantly increased the switching of virus recovered from

spleens (

Fig. 6b

). Although the proportion of PLN virus that was

switched was unchanged, PLN-infected cell switching increased

(

Fig. 6c

and

e

), and unlike LysM-cre mice, IFNAR-blocked

CD11c-cre mice had GFP

PLN B cells (

Fig. 6f

). These results

were consistent with IFNAR blockade increasing the total amount

of B cell infection but not altering its predominant route, which

was via DC.

IFNAR blockade increased the fluorochrome switching of both

splenic virus (

Fig. 6b

) and splenic infected cells (

Fig. 6c

and

d

).

Most GFP

spleen cells were located around WP follicles (

Fig. 6g

)

and were myeloid (CD11c

CD169

), although GFP

MZ B cells

were also evident (

Fig. 6h

). Control mice also had GFP

myeloid

cells and B cells but fewer (

Fig. 6d

). Thus, again, IFNAR blockade

increased virus spread but did not alter its predominant route.

NK cells are a second line of SSM defense.

The finding that

IFNAR blockade did not increase MuHV-4 passage through SSM

implied additional, IFN-I-independent restriction, before

adap-tive immunity comes into play (

51

). The important role of NK

cells in controlling murine cytomegalovirus (

52

) suggested that

they might also control MuHV-4. Although NK cells are activated

by IFN-I (

20

), IFNAR blockade increased NK cell recruitment to

MuHV-4-infected LN (

Fig. 7a

and

b

), implying IFN-I

indepen-dence in this context. To reveal NK cell function, we compared

their depletion with IFNAR blockade: C57BL/6 mice were

given anti-NK1.1 or anti-IFNAR antibody i.p. or left untreated

and then given MHV-GFP i.f. (

Fig. 7c

and

d

). After 1 day, both

treatments significantly increased virus titers, with IFNAR

blockade having a greater effect. PLN sections showed more

viral GFP

cells after IFNAR blockade and a smaller but still

FIG 5IFNAR blockade increases virus production in but not transfer from LysM⫹cells. (a) LysM-cre mice were given IFNAR-blocking antibody (IFN) or not (cont) and then floxed color-switching MHV-RG (105PFU i.f.). Six days later, virus was plaque assayed (footpads) or IC assayed (PLN and spleens). Horizontal bars show means. Other symbols show data for individual mice. The dashed line indicates the assay sensitivity limit. IFNAR-blocking antibody increased infection in footpads and spleens but not PLN. (b) Viruses from panel a were assayed for fluorochrome switching. Bars show means; other symbols show data for individual mice. IFNAR-blocking antibody increased virus switching in footpads and PLN. ND, not determined, as there was insufficient virus. (c) Tissue sections of mice infected as described for panel a were analyzed for infected-cell fluorochrome expression. Bars show group means. Other points show means of data for 3 views per section for each of 3 sections per mouse. IFNAR-blocking antibody increased fluorochrome switching in both PLN and spleens. (d) Example PLN images show unswitched (mCherry⫹, white arrows) but not switched (GFP⫹) CD11c⫹cells in control mice and mice treated with IFNAR-blocking antibody. Gray arrows show example GFP⫹cells.

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significant increase after NK cell depletion (

Fig. 7a

and

e

).

GFP

cells of all groups clustered around the subcapsular

si-nus, and many were CD68

and CD169

. Thus, NK cell

deple-tion increased SSM infecdeple-tion.

Without IFN-I and NK cells, SSM pass infection to B cells.

SSM attack by NK cells potentially explained the failure of

fluoro-chrome-switched virus to spread in IFNAR-blocked LysM-cre

mice (

Fig. 5

). To test this hypothesis, we gave LysM-cre mice both

FIG 6IFNAR blockade increases virus production in and transfer from CD11c⫹cells. (a) CD11c-cre mice were given IFNAR-blocking antibody or not and then MHV-RG i.f. (105PFU). Six days later, virus was plaque assayed (footpads) or IC assayed (PLN and spleens). Horizontal bars show means. Other symbols show data for individual mice. The dashed line indicates the assay sensitivity limit. IFNAR-blocking antibody significantly increased footpad and PLN but not spleen infections. (b) Viruses from panel a were assayed for fluorochrome switching. Bars show means; other symbols show data for individuals. IFNAR-blocking antibody significantly increased the switching of virus recovered from spleens. (c) Tissue sections of mice infected as described for panel a were analyzed for cellular fluorochrome expression. Bars show group means. Other points show mean counts for 3 views per section for 3 sections per mouse. IFNAR-blocking antibody increased infected-cell switching in both PLN and spleens. (d) Spleens were analyzed further for viral fluorochrome-positive cell types. IFNAR-blocking antibody increased B220⫹and CD11c⫹cell switching, although the increase was significant only for CD11c⫹. (e) PLN overview images show more GFP⫹ (switched) cells with IFNAR-blocking antibody, quantitated as described for panel c. Unswitched (mCherry⫹) cell numbers were similar to those of controls. Six mice per group gave equivalent results. (f) Higher-power images show both switched and unswitched B cells with IFNAR-blocking antibody and only unswitched B cells in controls. The images are representative of results for 6 mice per group. (g) Spleen overview images show IFNAR-blocking antibody increasing switched GFP⫹cell numbers in the MZ between WP follicles and the F4/80⫹red pulp (arrows). Six mice per group gave similar results, quantitated as described for panel c. (h) Higher-power spleen images show example GFP⫹and mCherry⫹cells. GFP⫹cells were evident in all mice, but IFNAR-blocking antibody gave significantly more CD11c⫹GFP⫹cells than controls, quantitated as described for panel d.

IFN and NK Cells Restrict MuHV-4 in LN

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NK-depleting and IFNAR-blocking antibodies before infecting

them with MHV-RG. After 4 days, PLN virus titers of

antibody-treated mice exceeded those of controls (

Fig. 8a

), and 25% of the

recovered virus was fluorochrome switched (

Fig. 8b

). Spleen virus

titers also increased, with

50% switching. Virus from footpads

showed negligible switching. Thus, when both IFN-I and NK cells

were disabled, more virus was produced and a greater proportion

passed through LysM

cells, presumably SSM. Day 4 would

nor-mally be too early for virus to have passed through MZM (

Fig. 5

).

Thus, the switching of splenic virus probably reflected seeding

from the PLN, while PLN virus also included seeding from

foot-pads. However, accelerated MZM infection may have

contrib-uted, as SSM and MZM infections are likely to have similar

im-mune restraints.

The greater virus switching of antibody-treated mice argued

that IFN-I and NK cells regulate MuHV-4 production in LysM

cells. However, while PLN sections of antibody-treated mice

showed more GFP

cells than those of controls, their GFP

/

mCherry

cell ratios were similar (

Fig. 8c

). Therefore, IFN-I and

NK cells also regulated LysM

infection. Most

fluorochrome-pos-itive PLN cells were myeloid rather than lymphoid (

Fig. 8d

and

e

),

consistent with fluorochrome expression being lytic while B cell

infection was mainly latent (

Fig. 2

). Nonetheless GFP

B cells

(B220

) were evident in antibody-treated mice (

Fig. 8e

and

f

).

Thus, when IFN-I and NK cells were lacking, SSM passed

MuHV-4 to B cells.

DISCUSSION

Extracellular fluid returning to the blood provides viruses with a

ready-made vehicle of systemic spread. LN are a key checkpoint,

and myeloid cells are the gatekeepers: migratory DC survey

cell-associated antigens, and sessile SSM survey the afferent lymph.

MuHV-4 infects both cell types, but only DC pass infection to B

cells. IFN-I and NK cells protected SSM against productive

infec-tion by virions adsorbed from the lymph. Other innate immune

effectors (

53

) may also contribute—the immune response is

in-herently multilayered, and with shared induction pathways,

indi-vidual effectors rarely act alone— but IFN-I and NK cells had key

roles.

A previous study of lung infection (

54

) found no significant

NK cell contribution to MuHV-4 control. However, LN infection

was not measured. The defensive role of NK cells identified here

was consistent with human genetic deficiency phenotypes (

55

),

prominent NK cell responses to EBV (

56

), and NK cell-mediated

defense against EBV in chimeric mice (

57

). Protection by IFN-I

argued against filtering macrophages being deliberately virus

per-missive (

19

); rather, the immune response consistently inhibits

infection as it escalates from IFN-I to NK cells to adaptive

re-sponses, with each gaining functional prominence if upstream

containment fails.

Host defense against viremia has anatomical as well as

func-tional layers. Most extracellular fluid traverses more than one

FIG 7IFN-I and NK cells control PLN infection. (a) C57BL/6 mice were given IFNAR-blocking antibody (␣IFN) or NK-depleting antibody (␣NK) or left untreated (cont) and then infected i.f. with MHV-GFP (105PFU). One day later, PLN sections were stained for viral GFP plus NKp46NK cells (NK), myeloid

cells (CD68), or SSM (CD169). Nuclei were stained with DAPI. Open arrows show NKp46⫹NK cells around the subcapsular sinus. Gray-filled arrows show CD68⫹and CD169⫹infected cells. (b) NKp46⫹NK cells were counted on PLN sections of mice treated as described for panel a. Bars show group means. Circles show mean counts for 3 fields of view per section from 3 sections per mouse. IFNAR-blocking antibody significantly increased NK cell recruitment above controls, whereas NK depletion significantly reduced it. (c) Spleen cells of mice given anti-NK1.1 depleting antibody (PK136) (200␮g/mouse in 2 injections 48 h apart) or not (control) were analyzed 24 h later by flow cytometry for expression of the NK cell marker NKp46. n is the number of cells in the boxed region. (d) PLN of mice treated as described for panel a were IC assayed for recoverable virus 1 day after i.f. MHV-GFP. Crosses show means; other symbols show data for individuals. Both NK cell-depleting antibody and IFNAR-blocking antibody increased titers. IFNAR-blocking antibody had a significantly greater effect. (e) GFP⫹cells on PLN sections described for panel a were counted for 3 views per section across 3 sections per mouse. Circles show mean counts for individuals. Bars show group means. Both IFNAR-blocking antibody and NK cell-depleting antibody increased GFP⫹cell numbers. IFNAR-blocking antibody had a significantly greater effect.

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lymph node; for example, footpad-inoculated MuHV-4 passes

from the PLN to the para-aortic LN (

16

), and splenic MZM

filter the blood. Invasive virus inoculations are often more

pathogenic than mucosal inoculations because they bypass the

outer defenses: i.p. MuHV-4 reaches the spleen directly (

12

),

and in this context, IFNAR blockade greatly increases

macro-phage infection (

36

), consistent with IFNAR

⫺/⫺

mice

suc-cumbing more rapidly to i.p. than to i.n. infection (

32

,

33

).

Although invasive inoculations cause more disease, host

colo-nization is not necessarily enhanced, as viral genes now operate

outside their normal evolutionary context. Thus, protecting

against disease after an invasive inoculation is not the same as

protecting against natural infection. For example, recombinant

gp350 protected tamarins against EBV-induced disease but did

not prevent natural human infection (

3

). Such outcomes

em-phasize the need to develop vaccine strategies that allow for

viral immune evasion.

Natural MuHV-4 infection is probably nasal (

22

); we studied

i.f. infection because the complexity of i.n. infection makes

pri-mary and secondary LN effects difficult to separate, but the SSM

barrier is relevant to both (

16

), and increased spleen infection by

i.n. MuHV-4 in IFNAR

⫺/⫺

mice (

33

) is consistent with IFN-I also

restricting MuHV-4 passage through mucosa-associated LN.

When the host response meets viral evasion, the outcome can

depend on cell type, and IFN-I and NK cells evidently restricted

MuHV-4 less in DC than in SSM. Most DC infection is initially

latent (

58

). It may become lytic

in vivo

only after DC have

mi-grated away from inflammatory infection sites and IFN-I

signal-ing has subsided. Migratory DC may also be less IFN-I responsive

than SSM (

59

). Nonetheless, antiviral states are inducible, and

vaccine-primed T cells could potentially recruit IFN-I and NK cell

responses upon virus challenge. CD4

T cells control long-term

MuHV-4 infection (

60

), interact with LN DC (

61

), and protect via

IFN-II (

62

), which potentiates IFN-I (

63

). The efficacy of innate

immunity in restricting SSM infection suggested that recruitment

of these defenses might also be able to limit DC infection and thus

reduce host colonization.

ACKNOWLEDGMENTS

We thank Orry Wyer for technical support and Helen Farrell for helpful discussion.

This work was supported by National Health and Medical Research Council grants 1060138, 1064015, and 1079180; Australian Research Council grant FT130100138; Queensland Health; the Sakzewski

Founda-FIG 8SSM pass on infection when both IFN-I and NK cells are disabled. (a) LysM-cre mice were given IFNAR-blocking (␣IFN) and NK cell-depleting (␣NK) antibodies or not and then infected i.f. with MHV-RG (105PFU). Four days later, infectious virus from footpads was plaque assayed, and reactivatable virus from PLN and spleen virus were IC assayed. Crosses show means; other symbols show data for individuals. IFNAR-blocking and NK cell-depleting antibodies significantly increased PLN and spleen titers. The baseline is the assay sensitivity limit. (b) Virus described for panel a was typed for fluorochrome expression. IFNAR-blocking and NK cell-depleting antibodies increased fluorochrome switching in PLN, and in mice treated with IFNAR-blocking and NK cell-depleting antibodies, spleen virus was significantly more switched than PLN virus. Control mice yielded insufficient spleen virus for assays (ND, not determined). (c) PLN sections of mice treated as described for panel a were stained for virus-expressed GFP (switched) and mCherry (unswitched). Total GFP⫹cells were counted for 3 fields of view per PLN section across 3 sections for each of 6 mice (left-hand graph). Bars show mean counts⫾standard errors of the means for individual mice. IFNAR-blocking and NK cell-depleting antibodies significantly increased total GFP⫹cell numbers. However, the ratios of GFP⫹cells to mCherry⫹cells (percentages of switched cells) (right-hand graph) were not significantly different. Circles and squares show mean counts for individuals, and bars show group means. (d) PLN sections of mice treated as described for panel a were stained for GFP and CD169 to identify fluorochrome-switched, infected SSM. Arrows show examples. Total GFP expression was quantitated as described for panel c. (e) PLN sections of mice treated as described for panel a were stained for GFP and B220 to identify fluorochrome-switched, infected B cells. Symbols show mean counts for 2 fields of view per mouse. Bars show group means. Control mice lacked GFP⫹ B cells. (f) The arrow shows an example GFP⫹B220⫹cell in PLN of an IFNAR-blocked, NK cell-depleted mouse, quantitated as described for panel d.

IFN and NK Cells Restrict MuHV-4 in LN

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tion; and BELSPO (collaborative grant BelVir) (to P.G.S.). J.P.S. was sup-ported by FCT SFRH/BSAB/113927/2015.

FUNDING INFORMATION

This work, including the efforts of Philip G. Stevenson, was funded by Department of Health | National Health and Medical Research Council (NHMRC) (1060138, 1064015, and 1079180). This work, including the efforts of Philip G. Stevenson, was funded by Federaal Wetenschapsbeleid (BELSPO) (BELVIR). This work, including the efforts of J. Pedro Simas, was funded by Ministry of Education and Science | Fundação para a Ciên-cia e a Tecnologia (FCT) (SFRH/BSAB/113927/2015). This work, includ-ing the efforts of Philip G. Stevenson, was funded by Australian Research Council (ARC) (FT130100138).

The funders had no role in study design, data collection and interpreta-tion, or the decision to submit the work for publication.

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IFN and NK Cells Restrict MuHV-4 in LN

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Figure

FIG 1 IFNAR blockade increases PLN and spleen infections by i.f. MuHV-4. (a) C57BL/6 mice given IFNAR-blocking antibody (infected i.f
FIG 2 IFNAR blockade increases SSM infection. (a) Mice given IFNAR-blocking antibody (One day later, PLN sections were stained for viral GFP
FIG 3 IFN-I restricts SSM infection independently of viral lytic gene expres-with complementation
FIG 4 IFNAR blockade and SSM depletion synergistically disseminate MuHV-4. (a) Mice were given liposomal clodronate to deplete SSM (clod), IFNAR-assayed, and PLN and spleen virus were IC assayed
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References

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